
<table cellpadding="5" cellspacing="0" border="0" width="100%"
	id="price" style="display: none">
	<tr>
		<td><label for="low1"> 省内三级医院产品销售最低价格</label></td>
		<td></td>
	</tr>
	<tr>
		<td><label for="hospital1_name"> 医院名称: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital1_name" name="hospital1_name"
			value="{{$list.hospital.0.name}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital1_price"> 价格: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital1_price" name="hospital1_price"
			value="{{$list.hospital.0.price}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital1_person"> 医院采购部门联系人: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital1_person" name="hospital1_person"
			value="{{$list.hospital.0.person}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital1_telephone"> 医院采购部门联系电话: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital1_telephone" name="hospital1_telephone"
			value="{{$list.hospital.0.telephone}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="low1"> 省内二级医院产品销售最低价格</label></td>
		<td></td>
	</tr>
	<tr>
		<td><label for="hospital2_name"> 医院名称: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital2_name" name="hospital2_name"
			value="{{$list.hospital.1.name}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital2_price"> 价格: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital2_price" name="hospital2_price"
			value="{{$list.hospital.1.price}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital2_person"> 医院采购部门联系人: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital2_person" name="hospital2_person"
			value="{{$list.hospital.1.person}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital2_telephone"> 医院采购部门联系电话: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital2_telephone" name="hospital2_telephone"
			value="{{$list.hospital.1.telephone}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="low1"> 省内二级以下医院产品销售最低价格</label></td>
		<td></td>
	</tr>
	<tr>
		<td><label for="hospital3_name"> 医院名称: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital3_name" name="hospital3_name"
			value="{{$list.hospital.2.name}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital3_price"> 价格: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital3_price" name="hospital3_price"
			value="{{$list.hospital.2.price}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital3_person"> 医院采购部门联系人: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital3_person" name="hospital3_person"
			value="{{$list.hospital.2.person}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="hospital3_telephone"> 医院采购部门联系电话: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="hospital3_telephone" name="hospital3_telephone"
			value="{{$list.hospital.2.telephone}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="outland1"> 外地参考价格1: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="outland1" name="outland1"
			value="{{$list.outland.0.price}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="outland2"> 外地参考价格2: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="outland2" name="outland2"
			value="{{$list.outland.1.price}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="outland3"> 外地参考价格3: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="outland3" name="outland3"
			value="{{$list.outland.2.price}}" size="40" /></td>
	</tr>
	<tr>
		<td><label for="outland4"> 外地参考价格4: </label></td>
		<td><input class="inputbox required validate-email" type="text"
			id="outland4" name="outland4"
			value="{{$list.outland.3.price}}" size="40" /></td>
	</tr>
</table>